| Moyenda Holistic Health Inc | |
|
9835 Lake Worth Rd Ste 16 Lake Worth FL 33467-2370 | |
| (954) 774-1414 | |
| Not Available |
| Full Name | Moyenda Holistic Health Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9835 Lake Worth Rd Ste 16, Lake Worth, Florida |
| Authorized Official Name and Position | Zakiya Moyenda (OWNER) |
| Authorized Official Contact | 3059008850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moyenda Holistic Health Inc 9835 Lake Worth Rd Ste 16 Lake Worth FL 33467-2370 Ph: () - | Moyenda Holistic Health Inc 9835 Lake Worth Rd Ste 16 Lake Worth FL 33467-2370 Ph: (954) 774-1414 |
| NPI Number | 1013798768 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 9436595964 |
|---|---|
| Medicare Enrollment ID | O20240307000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013798768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Zakiya Moyenda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073878138 PECOS PAC ID: 0143537563 Enrollment ID: I20150917001823 |
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